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Randomized Controlled Trial
. 2017 Jun;12(3):e24-e27.
doi: 10.1111/ijpo.12141. Epub 2016 May 27.

Two-year follow-up of a primary care-based intervention to prevent and manage childhood obesity: the High Five for Kids study

Sheryl L Rifas-Shiman  1 , Elsie M Taveras  2 , Steven L Gortmaker  3 , Katherine H Hohman  4 , Christine M Horan  2 , Ken P Kleinman  1 , Kathleen Mitchell  5 , Sarah Price  2 , Lisa A Prosser  6 , Matthew W Gillman  1
Affiliations
Randomized Controlled Trial

Two-year follow-up of a primary care-based intervention to prevent and manage childhood obesity: the High Five for Kids study

Sheryl L Rifas-Shiman et al. Pediatr Obes. 2017 Jun.

Abstract

Background: The obesity epidemic has spared no age group, even young infants. Most childhood obesity is incident by the age of 5 years, making prevention in preschool years a priority.

Objective: To examine 2-year changes in age- and sex-specific BMI z-scores and obesity-related behaviours among 441 of the 475 originally recruited participants in High Five for Kids, a cluster randomized controlled trial in 10 paediatric practices.

Methods: The intervention included a more intensive 1-year intervention period (four in-person visits and two phone calls) followed by a less intensive 1-year maintenance period (two in-person visits) among children who were overweight or obese and age 2-6 years at enrolment. The five intervention practices restructured care to manage these children including motivational interviewing and educational modules targeting television viewing and intakes of fast food and sugar-sweetened beverages.

Results: After 2 years, compared with usual care, intervention participants had similar changes in BMI z-scores (-0.04 units; 95% CI -0.14, 0.06), television viewing (-0.20 h/d; -0.49 to 0.09) and intakes of fast food (-0.09 servings/week; -0.34 to 0.17) and sugar-sweetened beverages (-0.26 servings/day; -0.67 to 0.14).

Conclusion: High Five for Kids, a primarily clinical-based intervention, did not affect BMI z-scores or obesity-related behaviours after 2 years.

Keywords: Behaviours; childhood; intervention; obesity.

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